| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.04 | $0.04 | $17,782.79 | |
Cigna
| Facility | $251.19 | $354.81 | $602.56 | |
Kaiser Permanente
| Professional | $295.12 | $446.68 | $616.60 | |
United
| Facility | $416.87 | $524.81 | $1,318.26 |